Organization
FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCIO NAVARRO GORDAN MD (PRESIDENT/MANAGING PARTNER)
(352) 332-3900
Entity
Organization
Contact information
Practice address
2202 STATE AVE STE 102, PANAMA CITY, FL 32405-4539
(888) 496-6621
Mailing address
4371 VERONICA S SHOEMAKER BLVD, FORT MYERS, FL 33916-2216
(239) 274-8200
Taxonomy
Speciality
Code
Description
License number
State
207VH0002X
Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017684600
—
FL
Enumeration date
02/04/2021
Last updated
03/22/2021
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